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2 Mission/Visions The CCC Vienna has started in 2010 in order to bring together a great variety of clinical department and research institutions in order to coordinate projects and actions in/for Basic Science (Research Clusters) Translational Research (CCC Units) Clinical Trials (Clinical Trial Unit in progress) Patient Care (Tumour Boards, CCC Units) Student Education (Vienna Summer School on Oncology) Medical Education (SOPs and CCC-Grand Rounds) Research Training Career Advancement (CCC-Young Scientists and PhD Programs)

5 Tasks of the Interdisciplinary Tumor Board to discuss and plan the optimal multimodal treatment for cancer patients together develop / improve interdisciplinary SOPs Scientific evaluation according to international reference standards Multidisciplinary strategies for prevention and early detection

6 Operating Guidelines Tumorboard mandatory members of the TB tasks of the TB-organizer tasks of Case-Managers documentation and organisation of the TB tumor data bank tumor board assistent data for outcome-analysis

8 Intranet-based Communication and Documentation Plattform Plattform for real-time case discussions Online-availability of all relevant diagnostic information Possibility for planning of further diagnostic and therapeutic work-up? Online-documentation of results of the consultations Connection to a centralized tumor registry (tumor data bank)? Logistics for automatic Follow-up of oncologic patients?

9 Education/QM The CCC Vienna supports the development of Standard Operating Procedures (SOPs) for important interdisciplinary operational sequences in oncologic care and research. They are freely available at the CCC-homepage. The first SOPs cover the topics of: Antineoplastic Therapy (valid for the entire hospital) Good Scientific Practice within the CCC Establishment of CCC Units

12 Screening for HCC Could be part of an HCC SOP Is not part of our SOP in Vienna Task for Hepatologists managing patients with cirrhosis If yes: Ultrasound every 6 (to 12) months AFP not recommended, can be done

18 Important issues For running the tumor board The case manager is introducing the patient and will remain responsible for the management according to the TB recommendations The patient is usually referred back to the case manager after an intervention for follow-up The opinion of the case manager weighs heavily in the tumor board decision Respect your collegues expertise and knowledge For the SOP s especially define what NOT to do in a given situation HCC

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